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Pathologies of Power: Health, Human Rights, and the New War on the Poor (California Series in Public Anthropology, 4)

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Author: Paul Farmer
Creators: Paul Farmer, Amartya Sen
Publisher: University of California Press
Category: Book

List Price: ~~$18.95~~
Buy New: $12.89
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New (42) Used (22) from $11.69

Media: Paperback
Edition: 1
Number Of Items: 1
Pages: 438
Shipping Weight (lbs): 1.6
Dimensions (in): 8.9 x 6 x 1.1

ISBN: 0520243269
Dewey Decimal Number: 305.569
EAN: 9780520243262
ASIN: 0520243269

Publication Date: November 22, 2004
Availability: Usually ships in 24 hours

Customer Reviews:

Showing reviews 6-10 of 21

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Pathologies of Power May 12, 2007
2 out of 3 found this review helpful

Read this book. Paul Farmer is one of the few who can enlighten us to a more profound understanding of the mechanisms that underlie disease in so many of its forms. He sees farther than most of us and comes to his conclusions with a gigantic intellect and hard hard hands-on work with the poor and ill for over 2 decades in Haiti and elsewhere. He is our Albert Schweitzer. His concept of "structural violence", that set of social and economic intrastructure deficits that set aside "rich" from "poor" and lays open the environment for not only the contagious diseases like TB and HIV, but also allows for the malnourishment and the reduced choices in nutrition, allows for the maintenance of the dearth of available health care resources, sanitation and educational systems, the conflation of which prevents protection against the illnesses of poverty, puts the reader into the realm of being forced to see a hidden and dirty truth. His prose is mutedly angry. His emotions are unmistakably righteous. His undressing of some of the "liberal" NGO mentality is eye opening. He is the real deal. Read his elegant words and get a glimpse at reality. We are sadly blinded to it by some of the "pathologies" of the powers that be. I have been a physician for almost 30 years. I've given this book to my sons who are young physicians. The thoroughness of his presentation of the causes of the societal ills that allow for the illnesses, and the bibiography that supports his theses are encylopedic in scope. Again, he is the real deal.

4 out of 5 stars

passion for the poor January 18, 2007
5 out of 6 found this review helpful

Paul Farmer is a Harvard MD and PhD (anthropology), clinician, tuberculosis specialist, author of numerous books and scholarly articles, recipient of a MacArthur "genius" grant, and Professor of Medical Anthropology at Harvard Medical School--when he is not living in a hut in his beloved Haiti where he founded Partners in Health, or traveling a quarter million miles a year to lecture, visit prisons, or meet with George Soros or the Gates Foundation. Most important of all, Farmer is an unapologetic, outspoken, and radical advocate for the poorest of the poor. Adequate health care, he insists, is a basic human right for every human being, and our world is failing miserably in this regard. His fascinating life story is told by Pulitzer Prize winner Tracy Kidder in the book Mountains Beyond Mountains (2003).br /br / According to a World Bank study from 1993, today in Sub-Saharan Africa "the median age at death is less than five years," (p. xi; no typographical error). Such deplorable disparities between rich and poor, Farmer writes, are not random occurrences, they are not accidental, inescapable or necessary. Rather, they result from pathologies of power, human agency, and structural violence. Quoting the liberation theologian Jon Sobrino, "The poor of the world are not the causal products of human history. No, poverty results from the actions of other human beings" (p. 143). Which is to say that the brutal asymmetry that consigns over half the world to wretchedness is not irremediable. Resignation, in fact, is the most inexcusable choice we could make. However daunting and complex, we can ameliorate these unacceptable conditions if we make other choices: "This book is a physician-anthropologist's effort to reveal the ways in which the most basic right--the right to survive--is trampled in an age of great affluence, and it argues that the matter should be considered the most pressing one of our times" (p. 6).br /br / Farmer spends considerable time charting anecdotal evidence from his two decades of clinical practice serving the poorest of the poor. These detailed case studies from Haiti, Chiapas, Peru, Russia and Cuba are not mere examples but instead emblematic of the problem. Further, following liberation theologians who have deeply influenced him, Farmer strongly advocates listening carefully to the voices of the poor themselves, in their own words, and not only to health "experts" in Geneva, New York and Paris. "I believe," writes Farmer, that 'the poor and impoverished of the world, in virtue of their very reality, constitute the most radical question of the truth of this world, as well as the most correct response to this question'" (p. 202).br /br / Some will dismiss rhetoric like that as from a wild-eyed idealist, or an angry extremist, but Farmer would respond that what is extreme and harsh are the conditions of way too many human beings in the world, which ought to evoke anger, and not his passionate advocacy for them (p. 254). Rather than merely "manage" these horrible social inequalities, Farmer challenges each one of us to make a difference by what he calls "pragmatic solidarity" with the poor.

5 out of 5 stars

Farmer lucid and compelling as ever January 4, 2007
2 out of 2 found this review helpful

For anyone who is inspired by the remarkable work Paul Farmer has engaged in over the years, this book offers a sound explanation of his guiding doctrine on human rights and healthcare for the poor.

4 out of 5 stars

Toward a "real" medical ethics November 11, 2006
5 out of 6 found this review helpful

It's a big world, but we Americans seem to reside in a small one, at least those of us fortunate enough to be insured and able to afford the health care we need. Many fellow US citizens cannot afford to be sick or ill at all, yet their needs may be tended only once they are so ill that emergency room care is required, but maybe not even then. Then there are the desperately poor of other nations and whole regions of the world that have virtually no care at all. This book is about those folks and medicine as it is currently practiced and dispensed here and abroad. Author Doctor Paul Farmer shows that modern medical practice violates the very ethos that spawned the impulse to heal in the first place.br /br /This book has a lot of structural problems that, while off-putting, are easily ignored by the enormous contribution Farmer makes to our understanding of a set of topics that most of us have not thought about at all. This is an important and inspired book, one that is clear and easy to read, although marred by redundancy that a good editor might have helped eliminate. The thesis topic is that the desperately poor deserve more attention, not less as they now are accorded, because they are more vulnerable by definition. Farmer successfully questions the allocation of our resources toward corporate profits rather than treating the poor of the world.br /br /Farmer's case studies based on his experience of working in Boston, Hattie, and the Russian Republic amply illustrate that our health care priorities are backward and unjust at best, pernicious and self defeating at worst. Every medical ethics course in the US ought to require this along with, or in place of, their existing textbooks that grind over the hoary issues of abortion and euthanasia, and a lot of other topics that are luxuries of a rich society that all but ignores those in greatest need.

5 out of 5 stars

Pathologies of Power November 5, 2006
0 out of 2 found this review helpful

Excellent - should be read by all medical people and politicians and any concerned about equality

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